Evidence map›Paper›PMID 33243895›Full record

ArticleAJNR. American journal of neuroradiology2021

Increased Perviousness on CT for Acute Ischemic Stroke is Associated with Fibrin/Platelet-Rich Clots.

T R Patel, S Fricano, M Waqas, M Tso, A A Dmytriw, M Mokin, J Kolega, J Tomaszewski, E I Levy, J M Davies and 3 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07588061 (Comparative Effect of Maitland Mobilization Combined With Kendall Exercises on Pain and Postural Alignment in Adults With Upper Cross Syndrome), which is not on this map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
5.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07588061 narecruitingnot on this mapstarted 2026, after this paper: background citation

Comparative Effect of Maitland Mobilization Combined With Kendall Exercises on Pain and Postural Alignment in Adults With Upper Cross Syndrome

TypeinterventionalSponsorIbadat International University, IslamabadRan2026 to 2026Enrolled58ConditionsUpper Cross SyndromeArmsKendall Exercises combined Maitland Mobilization, Kendall Exercise alone
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 63 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 5 countries.

T R PatelFrom the Canon Stroke and Vascular Research Center (T.R.P., S.F., M.W., M.T., J.K., J.T., E.I.L., J.M.D., K.V.S., A.H.S., V.M.T.).ORCID 0000-0002-4074-6822
S FricanoFrom the Canon Stroke and Vascular Research Center (T.R.P., S.F., M.W., M.T., J.K., J.T., E.I.L., J.M.D., K.V.S., A.H.S., V.M.T.).ORCID 0000-0002-1388-9430
M WaqasFrom the Canon Stroke and Vascular Research Center (T.R.P., S.F., M.W., M.T., J.K., J.T., E.I.L., J.M.D., K.V.S., A.H.S., V.M.T.).ORCID 0000-0003-4500-7954
M TsoFrom the Canon Stroke and Vascular Research Center (T.R.P., S.F., M.W., M.T., J.K., J.T., E.I.L., J.M.D., K.V.S., A.H.S., V.M.T.).ORCID 0000-0002-9629-3092
A A DmytriwDepartment of Medical Imaging (A.A.D.), University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0003-0131-5699
M MokinDepartment of Neurosurgery (M.M.), University of South Florida, Tampa, Florida.ORCID 0000-0003-4270-8667
J KolegaFrom the Canon Stroke and Vascular Research Center (T.R.P., S.F., M.W., M.T., J.K., J.T., E.I.L., J.M.D., K.V.S., A.H.S., V.M.T.).ORCID 0000-0001-6933-8681
J TomaszewskiFrom the Canon Stroke and Vascular Research Center (T.R.P., S.F., M.W., M.T., J.K., J.T., E.I.L., J.M.D., K.V.S., A.H.S., V.M.T.).ORCID 0000-0001-8377-8421
E I LevyFrom the Canon Stroke and Vascular Research Center (T.R.P., S.F., M.W., M.T., J.K., J.T., E.I.L., J.M.D., K.V.S., A.H.S., V.M.T.).ORCID 0000-0002-6208-3724
J M DaviesFrom the Canon Stroke and Vascular Research Center (T.R.P., S.F., M.W., M.T., J.K., J.T., E.I.L., J.M.D., K.V.S., A.H.S., V.M.T.).ORCID 0000-0002-5225-3072
K V SnyderFrom the Canon Stroke and Vascular Research Center (T.R.P., S.F., M.W., M.T., J.K., J.T., E.I.L., J.M.D., K.V.S., A.H.S., V.M.T.).ORCID 0000-0002-0842-9026
A H SiddiquiFrom the Canon Stroke and Vascular Research Center (T.R.P., S.F., M.W., M.T., J.K., J.T., E.I.L., J.M.D., K.V.S., A.H.S., V.M.T.).ORCID 0000-0002-9519-0059
V M TutinoFrom the Canon Stroke and Vascular Research Center (T.R.P., S.F., M.W., M.T., J.K., J.T., E.I.L., J.M.D., K.V.S., A.H.S., V.M.T.) vincentt@buffalo.edu.ORCID 0000-0002-1331-2551
Maine Farmland Trust · USAlstom (France) · FRCanon (United States) · USUniversity of South Florida · USUniversity of Toronto · CA

Funding

University of Buffalo Clinical and Translational Science Institute - Supplement SchulyerUL1TR001412 · NCATS · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI MURPHY, TIMOTHY F · 2015 to 2024
$33.8M
Development of a Molecular Diagnostic to Identify Dangerous Intracranial AneurysmsR44NS115314 · NINDS · NEUROVASCULAR DIAGNOSTICS, INC. · PI POPPENBERG, KERRY, TUTINO, VINCENT MATTHEW · 2023 to 2025
$2.9M
Virtual Intervention of Intracranial AneurysmsR01NS091075 · NINDS · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI MENG, HUI · 2015 to 2019
$1.7M
Optimizing Approaches to Endovascular Therapy of Acute Ischemic StrokeR21NS109575 · NINDS · UNIVERSITY OF SOUTH FLORIDA · PI MOKIN, MAXIM · 2019 to 2019
$420k
Molecular Biomarkers of Dangerous Intracranial AneurysmsR43NS115314 · NINDS · NEUROVASCULAR DIAGNOSTICS, INC. · PI TUTINO, VINCENT MATTHEW · 2019 to 2019
$225k
NCATS NIH HHS UL1 TR001412NINDS NIH HHS R01 NS091075NINDS NIH HHS R21 NS109575NINDS NIH HHS R43 NS115314NINDS NIH HHS R44 NS115314
6 · The paper itself

Abstract

background and purposeClot perviousness in acute ischemic stroke is a potential CT imaging biomarker for mechanical thrombectomy efficacy. We investigated the association among perviousness, clot cellular composition, and first-pass effect. MATERIALS AND

methodsIn 40 mechanical thrombectomy-treated cases of acute ischemic stroke, we calculated perviousness as the difference in clot density on CT angiography and noncontrast CT. We assessed the proportion of fibrin/platelet aggregates, red blood cells, and white blood cells on clot histopathology. We tested for linear correlation between histologic components and perviousness, differences in components between "high" and "low" pervious clots defined by median perviousness, and differences in perviousness/composition between cases that did and did not achieve a first-pass effect.

resultsPerviousness significantly positively and negatively correlated with the percentage of fibrin/platelet aggregates (

conclusionsClot perviousness on CT is associated with a higher percentage of fibrin/platelet aggregate content. Histologic data and, to a lesser degree, perviousness may have value in predicting first-pass outcome. Imaging metrics that more strongly reflect clot biology than perviousness may be needed to predict a first-pass effect with high accuracy.

Indexed as

Treatment OutcomeAgedBlood PlateletsComputed Tomography AngiographyFemaleFibrinHumansIschemic StrokeMaleThrombectomyThrombosisFibrin

Identifiers

PMID33243895
PMCPMC7814781
OpenAlexW3106602836

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.